Bradeigh Smithson Godfrey, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

6851437-1204 Issued in UT

Practice address

258 Heritage Ctr
Salt Lake City, UT 84112-2004

Phone

(801) 587-1290

NPI assigned

May 12, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Bradeigh Smithson Former name

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1083881734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HERITAGE CTR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841122004",
            "telephone_number": "801-587-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 HERITAGE CTR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841122004",
            "telephone_number": "801-587-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "BRADEIGH",
        "middle_name": "SMITHSON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "6851437-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRADEIGH",
            "last_name": "SMITHSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shadai Gociman, MD
• Amandeep Godara, MD
• Bailee Mikelle Goddard-Hymas, AU.D
• Kelly Godecke, M.D.
• Aubrey Ann Godfrey
• Gary Nolan Godfrey, APRN
• Judy K Godfrey, MS CCCSLP
• Lauren E. Godfrey, MD
• Linda Godfrey, LCSW
• Cristopher B Godoy, CPSS

• Physical Medicine & Rehabilitation Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.